Individual
JAMIE LEE ELLIOTT
Active
Individual
JAMIE LEE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E5641
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679799969
—
MO
05
—
175402001
—
AR
05
—
200326140A
—
OK
01
—
5H313
BCBS ARKANSAS
AR
01
—
P00645373
RR
AR
Enumeration date
04/17/2007
Last updated
06/18/2021
Update your record
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